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대한물리치료학회지(JKPT) update

The Journal of Korean Society of Physical Therapy

  • : 대한물리치료학회
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수록범위 : 1권1호(1989)~32권6호(2020) |수록논문 수 : 1,523
대한물리치료학회지(JKPT)
32권6호(2020년 12월) 수록논문
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KCI등재

1Influence of Head-Neck Rotation on Elbow Flexor and Extensor Muscle Activity and Strength in Normal Adults

저자 : Seung-min Nam , Seong-gil Kim

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 32권 6호 발행 연도 : 2020 페이지 : pp. 325-328 (4 pages)

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Purpose: This study examined the effects of the directions of neck rotation position on the muscle activity and strength of the elbow flexor and extensor muscle.
Methods: Forty-one healthy adults participated in this study. The subjects were asked to their elbow 90° flexion in three different neck rotations (neutral, ipsilateral, and contralateral) in the sitting position. The muscle activities of the biceps and triceps brachii muscle were measured using surface electromyography. And the muscle strength of the elbow flexor was measured using dynamometer. One way repeated measures ANOVA was used to compare the muscle activity and strength of the elbow flexor and extensor depending on the different neck turning directions.
Results: There were significant differences between contralateral neck rotation and ipsilateral neck rotation, contralateral neck rotation and neutral position. But, there was no significant difference in the triceps brachii muscle activity in comparison with the neck rotation. There were significant differences between contralateral neck rotation and ipsilateral neck rotation, contralateral neck rotation and neutral position.
Conclusion: To summarize this study, the elbow flexor and extensor muscle activity and strength was highest in the contralateral neck rotation position. In other words, it was possible to confirm the effect of Asymmetrical Tonic Neck Reflex in healthy adults whose primitive reflexes were inhibition, and head and neck positions should be considered during clinical evaluation and treatment.

KCI등재

2The Association between Health-related Quality of Life and Depression on Activity Restriction in Osteoarthritis: A Cross-sectional Study

저자 : Do-youn Lee , Seong-gil Kim

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 32권 6호 발행 연도 : 2020 페이지 : pp. 329-334 (6 pages)

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Purpose: The purpose of this study is to provide basic evidence on the need to approach osteoarthritis patients through a psychological factors-considering rehabilitation program by understanding how activity restrictions in osteoarthritis affect health-related quality of life and depression.
Methods: This study assessed 3,761 osteoarthritis patients from the Korea National Health and Nutrition Examination Survey. The subjects were divided into two categories: with and without activity restriction.
Results: The prevalence of osteoarthritis in women was higher than that of men (men: 19.7%; women: 80.3%), and high BMI increased the prevalence of osteoarthritis. The EQ-5D index of subjects with activity restriction was 0.84±0.18 (points), while in those without activity restriction was 0.93±0.12, and the diagnosis of depression was 15.8%, 8.2%. There was a statistically significant difference in the odds ratio for each item in the EQ-5D. Moreover, the odds ratio for depression with activity restriction was 2.098 compared with no activity restriction.
Conclusion: Activity restriction of osteoarthritis patients significantly decreases the health-related quality of life and increase the probability of depression. Therefore, early diagnosis of depression symptoms to prevent deterioration of symptoms in patients with osteoarthritis and to increase compliance with rehabilitation treatment, and to provide arbitration, including treatment that can alleviate depression.

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Purpose: This study was performed to investigate the influence of the condition with and without external support on the strength of hip flexor in supine position in subjects without core stabilization. Hip flexor muscles are very functional in the hip joint structures. Therefore, it is essential to evaluate the strength of hip flexor in a clinical and precise way.
Methods: Twenty subjects participated in this study. The double bent leg-lower test was used to evaluate subjects without core stabilization. The strength of hip flexor muscles was evaluated in supine position, both with and without external support condition. The paired t-test was used to compare the strength of hip flexor muscles according to external support. The level of statistical significance was at α=0.05. The intra-rater reliability of the repeated measures of hip flexor strength was estimated by calculating the intra-class correlation coefficients (ICC).
Results: In subjects without core stabilization, the strength of hip flexor in supine was greater with external support than that without external support (p<0.05). In addition, the intra-rater reliability with an ICC (3, 1) of the strength measurement of hip flexor with external support was higher than that without external support.
Conclusion: In subjects without core stabilization, the condition with external support can contribute to the strength of hip flexor in supine position and the strength measurement of hip flexor should be considered with the condition with and without external support.

KCI등재

4A Study of Evaluating Eye Movement Based on Ocular Motor Score for Children with Spastic Cerebral Palsy

저자 : Seo-young Jeong , Tae-young Oh

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 32권 6호 발행 연도 : 2020 페이지 : pp. 341-347 (7 pages)

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Purpose: The purpose of this study is to introduce a tool for evaluating eye movement and analyze the reliability of measurement based on 10 cases of evaluating the oculomotor function of children with spastic cerebral palsy
Methods: The participants were selected by 6 medical and welfare institutions in Busan as GMFCS grade 1-3 among spastic diplegia and hemiplegia. Seven examiners evaluated 3 children for the evaluation of inter-rater agreement of Ocular Motor Score (OMS) and evaluated the condition of the ocular motor of 10 children using OMS, a re-examination was performed at six weeks after the initial examination. SPSS ver.25.0 was used to calculate the interclass correlation coefficient and Wilcoxon's signed-rank test, Mann Whitney-U test.
Results: The inter-rater agreement of OMS was 0.89. Second mean values were decreased compared first examination in motility/ductions/version, saccades and smooth pursuit, but there was no significant difference. Children under 6 years old had a high mean value of saccades in first examination and the motility/ductions/version, fixation, saccades in second examination, but there was no significant difference. Spastic diplegia children's mean values were higher in head posture, fixation in 8 gaze directions than hemiplegia children in both first and second examination, but there were no significant differences.
Conclusion: Ocular motor function in 10 children of spastic children who participated in the study and could see that the scores was differed depending on age, type, grade of cerebral palsy. OMS may be available for this purpose.

KCI등재

5Comparison of Effects of Non-surgical Continuous and Intermittent Traction on Pain, Balance and Physical Function in the Treatment of Knee Osteoarthritis

저자 : Dong-kyu Lee , Jin-gyu Jeong

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 32권 6호 발행 연도 : 2020 페이지 : pp. 348-353 (6 pages)

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Purpose: This study examined the comparison of effects of non-surgical continuous and intermittent traction on pain, balance and physical function in the treatment of knee osteoarthritis.
Methods: A total of 30 knee osteoarthritis patients were recruited and randomized to a continuous traction group (n=10), an intermittent traction group (n=10), and a control group (n=10). The continuous traction group and intermittent traction group received a non-surgical continuous and intermittent knee joint traction workout five times a week, for 4 weeks. All subjects were assessed with the numeric rating scale (NRS), timed up and go test (TUGT), and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) before and after the 4-week treatment.
Results: As a result of comparison within groups, the continuous traction group, intermittent traction group, and control group showed a significant difference for NRS, TUGT, and WOMAC after the experiment (p<0.05). According to the comparison of the three groups, the continuous traction group showed a more effectively significant difference than the intermittent traction group and the control group in the balance and physical functions before and after the experiment (p<0.05).
Conclusion: This study showed that non-surgical continuous traction treatment was effective in improving pain, balance ability, and physical function in knee osteoarthritis patients.

KCI등재

6The Effects of Bridge Exercise with One Hip Joint Adduction on Trunk Muscle Thickness

저자 : Jae-cheol Park , Dong-kyu Lee

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 32권 6호 발행 연도 : 2020 페이지 : pp. 354-358 (5 pages)

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Purpose: This study aimed to verify the effects of bridge exercise with resistance to one hip joint adductor muscle on the thickness of external and internal oblique abdominal muscles, transversus abdominis muscle, and erector spinae muscle.
Methods: The subjects were divided into two exercise groups: 15 for Bridge Exercise Group (BEG) and 15 for One Hip joint Adduction Bridge Exercise Group (OHABEG). The study used an ultrasonic instrument to measure trunk muscle thickness. OHABEG performed a bridge exercise with one hip Joint adduction. BEG performed a bridge exercise without resistance.
Results: The external oblique abdominal, internal oblique abdominal, and the transversus abdominis muscles showed a significant increase by period and time in intra-group interactions (p< 0.05), while there was no significant difference in inter-group changes (p >0.05). The erector spinae muscle had a significant increase in each period (p< 0.05) but no significant difference in time, intra-group interactions, and in inter-group changes (p >0.05).
Conclusion: These results demonstrated that bridge exercise with one hip joint adduction had positive effects on trunk muscle thickness. These results confirm that a bridge exercise with one hip joint adduction has a positive effect on the muscle thickness of trunk, suggesting the possibility of using it as a rehabilitation treatment for a lumbar stabilization exercise and as a basic data.

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Purpose: This study was undertaken to compare the efficacy of instrument assisted soft tissue mobilization (IASTM) and a neural dynamic technique (NDYT). As an intervention to treat spastic lower limb muscle tone, stiffness, and static balance in stroke patients.
Methods: Totally, 26 participants were assigned randomly to two groups: the IASTM (n=13) and NDYT (n=13) groups. Both groups were subjected to their respective technique for 15 minutes, 5 times a week, for 6 weeks. Muscle tone, stiffness, and static balance were evaluated before and after training, to compare both group changes.
Results: IASTM group showed significant decrease in the gastrocnemius medial region and semitendinosus muscle tone and stiffness (p< 0.05) compare to NDYT group; however, no significant different was observed in static balance between groups (p >0.05).
Conclusion: The results suggest that IASTM is an effective method for decreasing the muscle tone and stiffness in acute stroke patients.

KCI등재

8The Effects of Action Observation with Functional Electrical Stimulation on Corticomuscular Coherence

저자 : Ji Young Kim , Young Uk Ryu , Jiwon Park

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 32권 6호 발행 연도 : 2020 페이지 : pp. 365-371 (7 pages)

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Objective: To investigate the action observation effects of functional electrical stimulation (FES) on the communication between motor cortex and muscle through corticomuscular coherence (CMC) analysis.
Methods: Electroencephalogram (EEG) and electromyogram (EMG) of 27 healthy, nonathlete subjects were measured during action observation, FES, and action observation with FES, which lasted for 7sper session for 10 times. All trials were repeated for 30 times. Simultaneously measured EEG raw data and rectified EMG signals were used to calculate CMC. Only confidence limit values above 0.0306 were used for analysis. CMC was divided into three frequency domains, andthe grand average coherence and peak coherence were computed. Repeated ANOVA was performed to analyze the coherence value difference for each condition's frequency band.
Results: CMC showed significant differences in peak coherence and average coherence between the conditions (p<0.05). Action observation application with FES in all frequency band showed the highest peak and average coherence value.
Conclusions: The results of this study are assumed to be the combination of increased eccentric information transfer from the sensory-motor cortex by action observation and an increased in concentric sensory input from the peripheral by the FES, suggesting that these are reflecting the sensorimotor integration process.

KCI등재

9The Effects of Clam Exercise on the Trunk Control and Balance of Stroke Patients

저자 : Jin Park

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 32권 6호 발행 연도 : 2020 페이지 : pp. 372-377 (6 pages)

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Purpose: The purpose of this study was to verify the effect of applying clam exercise on improving trunk control and balance ability in stroke patients. Based on this, we tried to provide clinical information.
Methods: In this study, 18 patients with chronic stroke were recruited from a rehabilitation hospital. The patients were divided into two groups: a clam exercise group (9 patients) and a control group (9 patients). After 30 minutes of neuro-development therapy, they performed clam exercise or bridge exercise for 3 weeks, 5 times a week for 30 minutes. A trunk impairment scale (TIS) and a postural assessment scale for stroke patients-trunk control (PASS-TC) were performed to evaluate the subjects' ability to control trunk before and after intervention. Balance ability was measured by Balancia before and after intervention.
Results: After the training periods, area 95% COP and weight distribution of the affected side were significantly different from the clam exercise group compared to the control group (p<0.05).
Conclusion: Based on the results of this study, in can be seen that the clam exercise is effective in improving the balance ability compared to the bridge exercise. Maintaining the standing posture requires muscle strength of the hip abduction and extension, which is the result of the clam exercise selectively strengthening these muscles. Therefore, if you want to provide intervention to improve the balance of stroke patients, it is recommended to perform a clam exercise

KCI등재

10A Comparison Study of Cervical Flexion-Relaxation Ratio in the Normal and Forward Head Postures

저자 : Sang-seok Yeo , Jung-won Kwon

발행기관 : 대한물리치료학회 간행물 : 대한물리치료학회지(JKPT) 32권 6호 발행 연도 : 2020 페이지 : pp. 378-382 (5 pages)

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Purpose: This study aimed to examine the effects of forward head posture on the flexion-relaxation ratio (FRR) and muscle activity during sustained neck flexion and to investigate the correlation between craniovertebral angle and FRR.
Methods: Nineteen subjects participated in this study and were allocated to a forward head posture (FHP) group or a non-forward head posture (NFHP) group. Craniovertebral angle (CVA) and FRR were measured in all subjects, and all participants performed a standardized cervical flexion-extension movement in two phases: Phase I, sustained cervical full flexion for 5s; and Phase II, cervical extension with the return to the starting position for 5s. The value of CVA has calculated three times, and the value of FRR was measured three times in order to obtain the mean value.
Results: FRR values in the FHP and NFHP group were significantly different (p< 0.05). Phase I was significantly different, but the Phase II was not significantly different between the FHP and NFHP group (p >0.05). There was a significant correlation between the muscle activity of Phase I and CVA (p< 0.05). However, FRR and the muscle activity of the Phase II were not a significant correlation with the CVA (p >0.05).
Conclusion: FHP increases the muscle activity of the cervical erector spinae during sustained neck flexion and reduces FRR, which can cause fatigue in the cervical erector spinae. In addition, for those with a smaller CVA, muscle activity of the cervical erector spinae is increased during sustained neck flexion, which can increase neck muscle tension.

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